Marjorie Elizabeth Madan, LCSW-R

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

070273 Issued in NY

Practice address

360 Christian Herald Road
Nyack High School
Nyack, NY 10960

Phone

(845) 353-7131

Fax

(845) 353-7119

NPI assigned

Nov 28, 2011

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1322438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1322438400000",
    "number": "1093082554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 CHRISTIAN HERALD ROAD",
            "address_2": "NYACK HIGH SCHOOL",
            "city": "NYACK",
            "state": "NY",
            "postal_code": "10960",
            "telephone_number": "845-353-7131",
            "fax_number": "845-353-7119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 CHRISTIAN HERALD ROAD",
            "address_2": "NYACK HIGH SCHOOL",
            "city": "NYACK",
            "state": "NY",
            "postal_code": "10960",
            "telephone_number": "845-353-7131",
            "fax_number": "845-353-7119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADAN",
        "first_name": "MARJORIE",
        "middle_name": "ELIZABETH",
        "name_prefix": "Ms.",
        "credential": "LCSW-R",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-11-28",
        "last_updated": "2011-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "070273",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marlenny Luna
• Paul N. Lutvak, MD
• Urenna Lynch
• William Wallace Lyons, D.D.S.
• Cleopatra Maack-Scheublin, FNP
• Mainuddin Al Mahmud
• Elfrida Shandar Malkin, M.D.
• Janine Malone
• Denise Maloney, LMT
• Aleksandra Mamorska-Dyga, M.D.

• Clinical Social Worker in Nyack, NY
• Providers in Nyack, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.